Africa Watch
Critics Push Back Against Trump’s ‘America First Global Health Strategy’ for Africa
A controversial shift in the United States’ foreign health policy has sparked growing concerns across Africa and the global health community.
There is a strong pushback against what critics describe as a transactional approach by the United States that may undermine national health sovereignty and long-term disease management on the African continent.
Under the “America First Global Health Strategy” (AFGHS) — a framework that has led to bilateral health cooperation agreements between the U.S. and several African countries — critics warn that the long-term memoranda of understanding (MOUs) signed with nations such as Nigeria, Rwanda, Uganda, Lesotho, Eswatini, Kenya, Liberia and Mozambique could come at the cost of African health autonomy and regional cooperation.
The strategy shifts the U.S. approach from traditional multilateral aid — often routed through the now-scrapped USAID and global partnerships — toward direct government-to-government agreements. This model ties health funding to co-financing obligations, data sharing requirements, and collaboration with private sector entities, raising alarms among activists, health experts and civil society groups.
Transactional Aid and Data Concerns
Critics, including more than 50 civil society organizations, argue that several elements of the agreements grant U.S. access to sensitive health data and pathogen information, potentially for decades, and inadequately protect African countries’ control over their health priorities. They say this could disrupt efforts to prioritise pressing national health needs such as maternal care, non-communicable diseases and decentralized primary health systems.
Opposers of the deal maintain that vast data-sharing clauses and provisions favoring private actors may lead to external influence over national health strategies, effectively co-opting health governance rather than supporting locally-led systems.
“By agreeing to one-sided bilateral pathogen sharing agreements with the U.S., your country risks breaking solidarity with broader African and Global South negotiating blocs,” said representatives from People’s Health Movement.
A Shift in U.S. Foreign Health Policy
The Trump administration’s approach realigns U.S. health diplomacy — moving away from a multilateralist model to one framed around national interest and bilateral engagement. Proponents argue this could boost accountability, reduce dependency on foreign aid, and encourage self-reliance in partner countries. U.S. officials have said the strategy aims to “advance… resilient, self-reliant and durable health systems” by pooling resources and reinforcing local contributions.
However, global health experts caution that sidelining multilateral mechanisms — such as the World Health Organization, the Africa Centres for Disease Control and Prevention, and regional procurement frameworks — weakens collective capability to manage pandemics, disease surveillance and equitable access to health commodities. Epidemics, by nature, transcend borders and require unified responses rather than isolated bilateral deals, they argue.
Balancing Aid with Sovereignty
Countries like Kenya and Uganda have entered substantial deals — Kenya reportedly securing a $2.5 billion agreement and Uganda approaching $1.7 billion — with both sides pledging co-investment and expanded health programs focusing on HIV/AIDS, tuberculosis, malaria, polio and other priority diseases.
Yet, the policy’s long-term implications remain uncertain.
Opponents argue that overly prescriptive agreements could fragment Africa’s regional health strategies, undermine collective bargaining in global forums, and retain unequal power dynamics that disadvantage African nations in setting health priorities.
Supporters of the model, like the Chatham House, on the other hand, highlight potential gains in domestic health workforce development, infrastructure enhancement, and local ownership of health systems. Some analysts also note that if properly balanced, bilateral engagement can complement rather than replace multilateral cooperation — a nuance that may shape future negotiations.
The Debate Ahead
With the United States continuing to pull back from traditional aid channels such as the U.S. Agency for International Development (USAID) and reconfiguring its health diplomacy, African health policymakers face crucial decisions about how to negotiate terms that preserve national sovereignty, data security, and equitable access to health services.
Africa Watch
British-Nigerian Influencer Dies After Penis Enlargement Procedure in Thailand
A British-Nigerian businessman and social media influencer died from a pulmonary embolism after undergoing a penis enlargement procedure in Thailand, a UK coroner’s inquest has heard.
Igho “Tiny” Ubiribo, also known as “Ego”, was 43 when he died in Bangkok following complications from the cosmetic procedure during a trip to Thailand with his wife.
Evidence presented at the inquest said Ubiribo had 40ml of hyaluronic acid and lidocaine injected into his penis at an unnamed clinic in March.
Shortly after the procedure, he developed chest pain and collapsed twice at his hotel.
He was taken to Sukhumvit Hospital, where doctors suspected a pulmonary embolism — a potentially fatal blockage of a blood vessel supplying the lungs.
His condition deteriorated despite emergency treatment, with medical staff reportedly performing CPR for more than 100 minutes.
Ubiribo died in the early hours of March 6.
His body was subsequently repatriated to the UK for further examination. A post-mortem reportedly detected cellular filler material in his lungs consistent with hyaluronic acid, the substance used during the cosmetic procedure.
Evidence presented to the inquest indicated that the material found in his lungs matched the filler administered during the treatment.
The coroner concluded that the cosmetic procedure had caused the fatal pulmonary embolism.
The case highlights the potentially serious complications associated with injectable cosmetic procedures, particularly when performed outside a patient’s home country. Pulmonary embolisms can occur when material enters the bloodstream and travels to the lungs, where it can obstruct blood flow and become life-threatening.
Ubiribo’s death has also drawn attention to the risks surrounding cosmetic procedures undertaken abroad, where patients may face unfamiliar medical standards, follow-up arrangements and emergency care systems.
The circumstances of his death were examined during the UK inquest as authorities sought to establish how the procedure ultimately led to the fatal complication.
Africa Watch
American Actress and Comedian Amanda Seales Calls for $4,180 to Help Kenyan Students Finish High School
American actress Amanda Seales is turning a personal commitment to students in Kenya into a public fundraising campaign.
She is calling on supporters to help raise $4,180 to ensure children she began sponsoring several years ago can continue their education.
The Grenadian-American actress, comedian and activist launched the initiative in partnership with the Utu Foundation after visiting Britons Primary School in Kenya in 2023.
During that visit, Seales learned that financial hardship was preventing some high-achieving students from making the transition from primary school to secondary education. She subsequently committed to personally sponsoring four years of secondary education for 28 students.
As those students reached their final year of high school in 2026, Seales expanded the effort to include public support, seeking assistance to help the remaining students complete their final terms.
In a recent fundraising video shared on Instagram, Seales connected the campaign to her broader Pan-African outlook and her belief in education as a pathway to freedom.
“Where your attention goes, your energy flows,” Seales said.
“As a Pan Africanist, I truly believe that it is going to be the liberation of the African peoples of diaspora that will lead to the collective liberation of the world.”
She then linked that vision directly to the students the campaign is supporting.
“And education is a key component to achieving freedom,” Seales said. “So we cannot allow folks to be unable to access it because of money.”
Seales concluded the appeal by asking supporters to join her and the Utu Foundation in reaching the $4,180 fundraising goal “to send these children to school.”
The campaign reflects an evolution in Seales’ involvement. What began with her personally financing the education of 28 students has become an appeal for a wider community of supporters to help carry the students through the final stage of their secondary education.
The fundraiser is being promoted through Seales’ social media platforms and her collaboration with the Utu Foundation. Supporters have also been directed toward fundraising merchandise through AmandaLand Exports, Seales’ official merchandise platform.
The campaign’s emphasis on completing secondary education highlights the financial barriers that can affect students even after they have successfully completed primary school. For families facing financial constraints, the costs associated with continued schooling can determine whether a child is able to progress academically.
For Seales, the issue is inseparable from her broader philosophy about the relationship between education, opportunity and liberation.
Her appeal also extends beyond the immediate needs of the students in Kenya, invoking a connection between the African continent and communities of African descent around the world.
By asking supporters to contribute to the education of students thousands of miles away, Seales is positioning the campaign as an example of diaspora engagement with educational initiatives on the continent.
The immediate goal, however, is straightforward: raise $4,180 and help the students complete their schooling.
Africa Watch
The West Africa Corridor’s Dirty Secret: Liberia’s Record Cocaine Bust Exposes State-Sanctioned Trafficking
Two months ago, Liberian authorities made history. In a warehouse in Duazon, just outside the capital, they discovered nearly four metric tons of cocaine—an estimated $317 million street value—making it the largest drug bust in the nation’s history.
Days later, law enforcement agents publicly incinerated the haul alongside a smaller 237-kilogram seizure, sending a dramatic signal that Liberia was no longer “a place of comfort” for traffickers.
Yet, as the smoke cleared, a far more troubling reality emerged from the ashes. The investigation has moved deeper into Liberia’s security establishment, exposing a systemic rot that challenges the very narrative of a state successfully waging war on drugs. As Police Inspector General Gregory O.W. Coleman told a government press briefing: the Duazon operation was “definitely sanctioned by state actors at the very, very senior level” of government.
A Political Bombshell
The gravity of the scandal reached its peak on August 19, when authorities charged former Vice President Jewel Howard-Taylor—who served from 2018 to 2024—with drug trafficking, money laundering, criminal solicitation, and conspiracy. She was stopped at Roberts International Airport while attempting to leave for Ghana and taken into custody.
Justice Minister Oswald Tweh’s statement was emphatic: “There will be no selective justice, political protection, sacred cows or compromise with organized criminality.”
Yet Howard-Taylor’s office has vehemently denied the charges, framing the case as a “politically motivated witch-hunt and an abuse of state power,” and alleging that unnamed government figures may use artificial intelligence to fabricate evidence against her.
The Pipeline Within
While the former Vice President’s arrest captured global headlines, the investigation has also pulled back the curtain on a disturbing institutional problem. Senior police officers were allegedly not just passive bystanders but active facilitators. Coleman named the chief of highway patrol and the head of major crimes as having driven escort for the massive drug consignment, using police vehicles to move it from the shoreline to the stash house.
“We have identified key state actors who played a role in transporting, escorting the movement of these narcotic substance from the landing site to the holding ground using police vehicles as escort, one in the front, one in the back,” Coleman said.
A deputy commander at the airport was also identified as a key actor.
President Joseph Boakai has responded with sweeping administrative action, dismissing senior officials from airport security, the Liberia National Police, the National Security Agency, and the Liberia Drug Enforcement Agency. A deputy commissioner was dismissed after reportedly admitting to accepting a $10,000 bribe.
The Vanishing Suspects
Despite these actions, a troubling question remains unanswered: who is actually being held accountable?
The two foreign nationals arrested at the scene—a Serbian and a dual Colombian-Spanish citizen—have become the most visible faces of the investigation. Meanwhile, more than a dozen Liberian suspects named in writs of arrest have largely disappeared from public view, with little visible movement toward trial.
As one FrontPageAfrica analysis noted, “For the public, the answers remain unclear. The result is a widening perception that while the two foreign nationals are being visibly prosecuted, several Liberian suspects have effectively vanished from the case.”
This perception is particularly damaging given Coleman’s admission. If the country’s top police officer says senior state actors were involved, why does the visible face of justice remain largely two foreign nationals?
A Regional Crisis
Liberia’s situation is not an isolated incident but a glaring example of a wider continental problem. According to the Global Initiative Against Transnational Organized Crime, at least 30% of cocaine destined for European markets now passes through West Africa. The region has become a critical transit corridor, with smugglers exploiting porous borders and weak enforcement.
The report notes that large shipments of cocaine are supported by “protection systems provided by politicians, security officials, and armed groups,” where “territorial control and access to institutional cover make trafficking possible.”
This dynamic extends across the region, with Sierra Leone recently identified as a strategic hub for a route that saw a record 30-tonne seizure by Spanish authorities.
A Defining Moment
For Liberia, this scandal represents a critical test of institutional integrity. Anti-corruption group CENTAL has warned that dismissals alone are insufficient. “Narcotics of such quantity do not transit a country whose borders, seaports, and airports are functioning without compromises and collusive networks. This is a governance failure before it is a criminal one,” said CENTAL Executive Director Anderson Miamen.
The government has secured international support, with the U.S. Drug Enforcement Administration now working in-country alongside Liberian investigators.
However, the lingering questions about who orchestrated the operation and who remains protected will likely determine whether these actions are remembered as a decisive turning point or merely another episode in Liberia’s long struggle against organized crime.
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